| NPI | 1174715916 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MI 4301093482) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35090272) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MT183557) | |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2020-12-21 |